Active NPI
Debbie Joy Aldrich, COTA/L
- Occupational Therapy Assistant
- Eagle, ID
National Provider Identifier
1720308588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA 156
- Practice address
- 228 E Plaza St
B # 157
Eagle, ID 83616-5981 - Phone
- (208) 407-2801
- NPI assigned
- Jun 3, 2010
- Last updated
- Jun 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA 156 | ID | Primary |
Addresses
Primary practice location
228 E Plaza St
B # 157
Eagle, ID 83616-5981
Mailing address
228 E Plaza St
B # 157
Eagle, ID 83616-5981
Phone (208) 407-2801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA 156 | ID | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275523200000",
"number": "1720308588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 E PLAZA ST",
"address_2": "B # 157",
"city": "EAGLE",
"state": "ID",
"postal_code": "836165981",
"telephone_number": "208-407-2801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 E PLAZA ST",
"address_2": "B # 157",
"city": "EAGLE",
"state": "ID",
"postal_code": "836165981",
"telephone_number": "208-407-2801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDRICH",
"first_name": "DEBBIE",
"middle_name": "JOY",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-03",
"last_updated": "2010-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "ID",
"license": "OTA 156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle, ID
- Shah Afshar, RPH
- Anna Albers
- Albertsons LLC (Sav-on Pharmacy #0182)
- Albertsons LLC (Sav-on Pharmacy)
- Sara Aldecoa, RN, IBCLC
- All Care Health Solutions-PCS Division LLC
- All Care Health Solutions-PCS Divisionllc (208 Home Care)
- All Grace Home Health, Hospice, and Palliative Care LLC
- Alliance Medical Group, LLC (Primary Health Medical Group)
- Alpha Home Health Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.